Post Job Free

Resume

Sign in

Medical Billing Specialist

Location:
Youngsville, LA
Salary:
20.00 hour
Posted:
July 11, 2022

Contact this candidate

Resume:

Eldora Gary

Billing Specialist with more than thirty years of experience in providing administrative, personnel, accounts receivable, collections, and office management. Provide positive and effective customer service that supports departmental and corporate operations. Contributes to the teamwork within and between departments and organizations. Proven organizational, verbal and written communications, and negotiation skills. Establish contacts and develop relationships with significant payers to facilitate resolution of outstanding account receivable balances. Effective leadership skills; establish trust, train and motivate people of all levels to achieve maximum potential while attaining corporate objectives. Strong organizing and prioritizing abilities. Demonstrated skills to include the ability to handle multiple projects and assignments. Youngsville, LA 70592

adrpar@r.postjobfree.com

337-***-****

Manage and supervise day-to-day operations of business office, collection department and data processing department. File and process Medicaid, private insurance, Worker’s compensation, Commerical Insurances, and Medicare Claims. Contact insurance companies and patients regarding outstanding balances. Handle account payables, accounts receivable, collection, billing, reimbursements, and other bookkeeping functions. Hire, train, supervise, and evaluate office staff. Skilled in financial operations management including account reconciliation, employee payroll, and bank deposits. Record all daily cash receipts. Conduct month end reports and month end closing. Prepare monthly and year -end reports.

Authorized to work in the US for any employer

Work Experience

Billing Specialist/Collections

Focus Management - Lafayette, LA

June 2007 to May 2010

The company I worked for owned/managed hospitals and medical clinics. Responsible for doing medical billing and collections for facilities. Filed Medicare, Medicaid, Commercial Insurances, Workers Compensation. Responsible for filing secondary insurance once primary insurance paid. Contact insurance company on outstanding claims. Handle all inquires on patient accounts. Communicated any billing issues to facility. Handled all cash posting to patient accounts. Balanced cash receipts on a daily and monthly basis. If any issue it was resolved that day so the cash posting balances to deposit. Sent patient statements monthly. Processed month-end closing. Worked closely with Financial Manager on any issue that I couldn’t resolve. Sent collection letters to patients on outstanding balance. Worked out arrangements with patient if balance wasn’t paid in full. Answered incoming calls concerning billing for facility. Processed outpatient claims.

Medical Billing Supervisor

Teche Action Clinic - Franklin, LA

December 2005 to May 2007

Managed and supervised all accounts receivable billing for 4 FQHC clinics. Handle all physician credentialing with insurance companies. Communicated any billing deficiencies with clinic supervisor. Monitored and supervised billing staff. If their was a billing issue with claims I worked closely with biller to correct claim and resubmit to the appropriate payer.Held in-service staff meetings. Medical Billing Specialist/Physician Clinic

Rehabilitation Hospital of Acadiana - Youngsville, LA February 2005 to December 2005

The hospital was sold to new ownership. I quit to go to work for Teche Action Clinic. Filed Medicare, Medicaid,Worker’s Compensation, Commercial Insurances, primary and secondary insurances, posted cash receipts, handled wound care billing, and sent out monthly accounts receivable statements. Medical Billing Specialist

Promise Healthcare Corporate Office - Lafayette, LA November 1999 to November 2004

Monitored all Medicare, Medicaid, Commerical, Private Pay, and outside resource billing, account receivable, daily census balance, inpatient and outpatient claims for this professional rehabilitation long- term hospital that bills $1.6 million per month. Provided month-end processing for accounting, balanced in-house and discharge logs, cash posting with daily deposit, and manual census with computer logs. Computed Medicate reimbursements.

Accounts Receivable Billing Supervisor-1999 to 2001 (Camelot Healthcare-Bought by Promise Healthcare in 2001) Supervised all nursing home billing staff for twenty-eight facilities throughout TX, AR, and LA. Allocated work assignments, and verified accuracy of staff work. Conducted daily billing for Medicare and Medicaid patients throughout Tx, AR, and LA. Claimed remittance once per week and posted all cash receipts. Handled all inquiries from patients, reapplication for Medicaid benefits and instructed on how to get re-approved.

Office Manager for Rural Health Clinic & Accounts Receivable Collection Specialist

Memorial Mother Francis Hospital - Palestine, TX

September 1994 to July 1999

Managed two rural health locations that served approximately sixty- five patients per day. Hired and trained office staff and supervised ten staff members. Directed business operations and management of administrative, clinical, and operating processes to enhance quality and manage costs for clinic. Handled all JCAHO surveys and compliance issues. Checked out patients, executed referrals with outside resources, and processed medical records. Monitored assigned account receivable work files in order to manage denials, determine trends and correct billing problems. Interacted with peri users, administrative staff, clinical staff, third party organizations, managed care organizations and other staff. Acted a liaison between billing office and patient inquiries. Keyed in all charges and receipts for corporate billing. Made daily deposits.

Business Office Manager

Amerihealth Management Company - Atlanta, GA

January 1989 to May 1993

I worked for management company who managed a hospital in Folkston, Georgia. Managed day-to- day office and clerical operations. Supervised and trained third party, self pay billing and collections staff members. Managed account payable, accounts receivable, and payroll. Handled correspondence, reports, memorandums, and letters. Ensured quality and regulatory compliance standards were achieved.

Clinic Administrator/Accounts Receivable Collection Manager Delta Medical Clinic - Brinkley, AR

December 1986 to May 1988

Coordinate clinic operations, and staffing. Hired, trained, supervised, scheduled and performed staff evaluations. Purchase supplies in compliance with budgetary restrictions. Successfully handled the multi-tiered position, while representing the clinic in a positive manner, at all times. Managed account receivable for high volume medical clinic. Handled daily receipts, monthly statements, client accounting issues, and collections.

Business Office, Accounts Receivable, Collections, Financials, and Data Processing

Regent Hospital of Acadiana/Erath General Hospital - Erath, LA September 1977 to November 1986

Managed multiple departments and 13 staff members for this 63 bed facility. Conducted Medicaid, Medicare, Workman’s Compensation, and third party billing. Supervised daddy-to-day operations, data processing, account receivable, collections, and business office functions. Helped Accountant with Preparation of month- end financial statements, bank reconciliation for five accounts, and all financials for annual audit. Checked and balanced balance sheet accounts monthly for correct posting. Set up a collection system and within six months went from 160 A/R days to 52 days. Education

High school diploma

New Iberia Senior High School - New Iberia, LA

August 1969 to January 1972

Skills

• Medical Billing

• ICD-10

• CPT Coding

• Hospital Experience

• Medical Collection

• Managed Care

• Accounts Receivable

• Bank Reconciliation

• Medical Office Experience

• General Ledger Accounting

• Healthcare Management

• Practice Management

• Insurance Verification

• ICD-9

• Medical Records

• EMR Systems

• QuickBooks

• Accounts Payable

• Data Entry

• Balance Sheet Reconciliation

• Journal Entries

• Medical Coding

• Account Reconciliation



Contact this candidate